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Translating GeoNutrition (TGN): Reducing mineral micronutrient deficiencies (MMNDs) in Zimbabwe

转化地理营养 (TGN)：减少津巴布韦矿物质微量营养素缺乏症 (MMND)

基本信息

批准号：
EP/T015667/1
负责人：
Simon Langley-Evans
金额：
$ 103.63万
依托单位：
University of Nottingham
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2019
资助国家：
英国
起止时间：
2019 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=EP%2FT015667%2F1
关键词：
Translating GeoNutrition TGN Reducing mineral

项目摘要

Mineral micronutrient deficiencies (MMNDs) remain a global challenge affecting the growth, development, health, and livelihoods of more than 2 billion people. MMNDs are especially prevalent in Low Income Countries of sub Saharan Africa (SSA) and South Asia. Women and children are at particular risk of MMNDs due to unequal access to nutrient-rich foods within the home. Constraints to reducing MMNDs, especially in SSA, include: (1) baseline data on the distribution of MMNDs, especially within a country; (2) national research capacity to get the information needed to provide a sound evidence base, and potential solutions, for policy makers, private sector investors, and other interested parties (citizens, donors, public health professionals).We have built up substantial knowledge on how to approach this challenge based on ongoing research, and lessons learned, from an existing portfolio of Global Challenge Research Fund (GCRF, and other ODA and institutional) funding, which seeks to, (1) reduce the impact of MMNDs by understanding local nutrition from the soil through to the person via complex food systems pathways (a 'GeoNutrition' approach), and (2) strengthen research capacity in SSA.The work will be undertaken with partners in Zimbabwe, where >50% of the population are affected by MMNDs. The Government of Zimbabwe (GoZ) plans to embed a full MMND survey in a wider health survey in 2020/21. There is therefore a window of opportunity for impact by: (1) informing the design of this GoZ survey, specifically by translating GCRF-funded 'GeoNutrition' research findings from Malawi, and (2) promoting new policy and commercialisation pathways through research capacity strengthening. This project has the highest-level support from the GoZ, including from the Ministry of Health and Child Care, and the Ministry of Higher Education. The project has been co-designed with the University of Zimbabwe (UZ).Translating GeoNutrition Aims:1. To co-design a national surveillance programme to establish baseline MMNDs in Zimbabwe2. To improve institutional and individual research capacity in Zimbabwe, including to test policy interventions for alleviating MMNDs and to promote private sector engagementAim 1 will be delivered through activities in two (parallel) Work Packages (WPs), linking the Nutrition (WP1) and Agriculture (WP2) sectors. These can be scaled up as required.WP1: Biomarker Survey Pilot, to support mapping of MMNDs, and to inform the design of the full MMND surveillance programme. The activity sequence includes: (i) design, (ii) area selection, (iii) data sharing, (iv) ethical approvals, (v) training and sensitisation, (vi) logistics/risk assessments, (vii) sample collection and processing (blood, urine), (viii) storage/shipping, (ix) lab. analyses, (x) data management, (xi) data analyses, (xii) communication.WP2: Agricultural Survey, to link agriculture and nutritional policies, by mapping parts of the Food Systems which affect MMNDs, and to identify new market opportunities. Activities include those described above, with sample collection focusing on soils and crops.Aim 2 will be delivered via WP3, which will be designed to include interim and final evaluations, within a Theory of Change. Of particular focus will be improving skills in data management, statistics, ethics, lab. analyses, finance systems, Higher Education curriculum development, and training-of-trainer (ToT) systems. An important component of research capacity strengthening is how research cultures and systems are developed; what works, for whom, when, and why, including how gender and social inclusion strategies are operationalised. Beyond the award, we shall use institute investment to co-develop a joint PhD programme between UoN and UZ, based on new UoN/Malawi models, which shall help to incentivise private sector engagement in the food, nutrition, and agri-services sectors.

矿物质微量营养素缺乏症（MMND）仍然是一个全球性挑战，影响着20多亿人的生长、发展、健康和生计。MMND在撒哈拉以南非洲和南亚的低收入国家特别普遍。妇女和儿童由于在家中无法平等获得营养丰富的食物，特别容易患MMND。减少MMND的制约因素，特别是在撒哈拉以南非洲，包括：（1）MMND分布的基线数据，特别是在一个国家内;（2）国家研究能力，以获得为决策者、私营部门投资者和其他有关各方提供可靠的证据基础和潜在解决方案所需的信息（公民、捐助者、公共卫生专业人员）。我们根据正在进行的研究，以及从全球挑战研究基金现有的投资组合中吸取的经验教训，积累了关于如何应对这一挑战的大量知识。（全球气候基金和其他官方发展援助和机构）供资，其目的是：（1）了解当地的营养状况，通过复杂的粮食系统途径，从土壤到人，减少MMND的影响（“地理营养”方法），以及（2）加强撒南非洲的研究能力。其中>50%的人口受到MMND的影响。津巴布韦政府（GoZ）计划在2020/21年度更广泛的健康调查中纳入全面的MMND调查。因此，通过以下方式产生影响的机会之窗：（1）为本次GoZ调查的设计提供信息，特别是通过翻译GCRF资助的马拉维“GeoNutrition”研究结果，以及（2）通过加强研究能力促进新的政策和商业化途径。该项目得到了政府最高级别的支持，包括卫生和儿童保育部以及高等教育部的支持。该项目是与津巴布韦大学（UZ）共同设计的。共同设计国家监测方案，以确定津巴布韦MMND基线2。为了提高津巴布韦的机构和个人研究能力，包括测试缓解MMND的政策干预措施和促进私营部门的发展，将通过两个（平行）工作包（WPs）的活动实现目标1，将营养（WP 1）和农业（WP 2）部门联系起来。WP 1：生物标志物调查试点，以支持MMND的绘图，并为整个MMND监测计划的设计提供信息。活动顺序包括：（i）设计，（ii）区域选择，（iii）数据共享，（iv）伦理审批，（v）培训和宣传，（vi）物流/风险评估，（vii）样本采集和处理（血液、尿液），（viii）储存/运输，（ix）实验室。WP 2：农业调查，通过绘制影响MMND的粮食系统部分，将农业和营养政策联系起来，并确定新的市场机会。活动包括上述活动，样本收集重点是土壤和农作物。目标2将通过WP 3交付，WP 3的设计将包括变革理论内的中期和最终评估。特别重点将是提高数据管理，统计，道德，实验室的技能。分析，财务系统，高等教育课程开发和培训员培训（ToT）系统。加强研究能力的一个重要组成部分是如何发展研究文化和系统;什么是有效的，对谁有效，何时有效，为什么有效，包括如何实施性别和社会包容战略。除了该奖项，我们将利用研究所投资，共同开发UoN和UZ之间的联合博士课程，基于新的UoN/马拉维模式，这将有助于激励私营部门参与食品，营养和农业服务部门。